| Makenzie Evinger, | |
|
305 N 4th St, Odessa, MO 64076-1149 | |
| (816) 277-8598 | |
| Not Available |
| Full Name | Makenzie Evinger |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 305 N 4th St, Odessa, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619609989 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 2022023903 (Missouri) | Primary |
| Entity Name | Surgical Care Of Independence Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568440493 PECOS PAC ID: 4385735554 Enrollment ID: O20070802000584 |
| Entity Name | Advanced Orthopedics And Sports Medicine |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003268087 PECOS PAC ID: 8820370422 Enrollment ID: O20170113002161 |
| Mailing Address | Practice Location Address |
|---|---|
| Makenzie Evinger, 305 N 4th St, Odessa, MO 64076-1149 Ph: () - | Makenzie Evinger, 305 N 4th St, Odessa, MO 64076-1149 Ph: (816) 277-8598 |
Meghan Elizabeth Klaas, CNP, APRN, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1278 W Us Highway 40, Odessa, MO 64076 Phone: 844-853-8937 | |
Mrs. Bethany Jeanette Foss, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 213b W Mason St, Odessa, MO 64076 Phone: 816-339-5526 Fax: 816-207-0558 |